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terminilogy

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
CO-Pay   patient's payment of a portion of the cost at the time the service is rendered  
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EPO   exclusive provider organization  
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FMC   foundation for medical care  
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HMO   health maintenance organization  
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IPA   independent or individual practice association  
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MCO   managed care organization  
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PCP   primary care physician  
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POS   point of service  
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PPG   physician provider group  
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PPO   preferred provider organization  
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UR   utilization review  
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PHP   prepaid health plan  
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buffing   physician's justifying the transfer of sick, high-cost patients to other physician's in a managed care plan  
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capitation   system of payment used in which physician's and hospitals are paid a fixed per capita for ea. pt.  
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carve outs   medical services not included with in the capitation rate as benefits of a managed care contract  
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Created by: susan.jones
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